<\/span><\/h2>\nDoctors and hospitals must act with care, skill, and attention to medical science. In Turkish practice, courts and medical experts compare what happened to the accepted standard for that field and moment in time. If a doctor or clinic deviates<\/em> from that standard and the patient suffers harm as a result, liability can arise.<\/p>\n
<\/p>\n
<\/span>Malpractice vs. complication<\/strong><\/span><\/h3>\nNot every bad result is malpractice. Some injuries are known complications that can occur even when the team follows the rules. A key part of any case is deciding which one it is. In T\u00fcrkiye, courts rely heavily on independent expert reports<\/strong> to make that call. These reports weigh records, imaging, labs, notes, and timelines. In Istanbul, the Council of Forensic Medicine (Adli T\u0131p Kurumu, \u201cATK\u201d)<\/strong> and university boards frequently provide these opinions.<\/p>\n<\/span>Four building blocks of a claim<\/strong><\/span><\/h3>\n\n- Duty:<\/strong> a care relationship existed (hospital admission, clinic visit, surgery, etc.).<\/li>\n
- Breach:<\/strong> the care fell below accepted practice.<\/li>\n
- Causation:<\/strong> that breach led to the injury.<\/li>\n
- Damage:<\/strong> there is loss\u2014medical, financial, or non-pecuniary.<\/li>\n<\/ul>\n
<\/span>The legal framework (as of 2025)<\/span><\/h2>\nSeveral laws and rules shape malpractice in T\u00fcrkiye:<\/p>\n
\n- Turkish Code of Obligations (TCO) No. 6098<\/strong> governs civil liability and damages.<\/li>\n
- Turkish Penal Code (TPC) No. 5237<\/strong> addresses crimes like negligent injury<\/em> and negligent homicide<\/em> when conduct crosses into criminal territory.<\/li>\n
- Fundamental Law on Healthcare Services No. 3359<\/strong> sets broad health-system rules and\u2014through later amendments\u2014procedures around public-sector recourse.<\/li>\n
- Patient Rights Regulation<\/strong> secures informed consent, access to records, and complaint routes.<\/li>\n
- Compulsory Financial Liability Insurance for Medical Malpractice<\/strong> requires physicians to carry coverage; tariff limits are periodically updated.<\/li>\n
- Mediation reforms (2023)<\/strong> added a mandatory mediation step before many civil compensation lawsuits.<\/li>\n<\/ul>\n
<\/p>\n
<\/span>Where do you file in Istanbul?<\/span><\/h2>\n<\/span>Private hospitals and private doctors<\/strong><\/span><\/h3>\nClaims against private providers are usually treated as consumer disputes<\/strong>. They are heard in Consumer Courts<\/strong> in Istanbul (e.g., Bak\u0131rk\u00f6y, \u00c7a\u011flayan, Anadolu courthouses depending on location and jurisdiction). If you sue an insurer<\/strong> (for example, the doctor\u2019s compulsory policy), the Commercial Court<\/strong> may be competent, because the defendant is an insurance company.<\/p>\n<\/span>Public hospitals and university hospitals<\/strong><\/span><\/h3>\nIf the treatment took place in a public hospital, claims for compensation (pecuniary and non-pecuniary) are filed as full remedy actions<\/strong> in the Administrative Courts<\/strong>. Before suing, you must apply to the administration within the legal time window (details below). University hospitals can be public or private; the route follows the legal status of the institution at the time of treatment.<\/p>\n<\/span>Criminal route<\/strong><\/span><\/h3>\nIn parallel with civil or administrative remedies, a patient or family may file a complaint with the Istanbul Chief Public Prosecutor\u2019s Office<\/strong> if they believe a crime occurred (e.g., negligent injury or negligent homicide). Criminal and civil tracks can run side by side. Expert evidence is central in both.<\/p>\n<\/span>What happens before a lawsuit?<\/span><\/h2>\n<\/span>Mandatory mediation for compensation claims<\/strong><\/span><\/h3>\nSince 1 September 2023<\/strong>, T\u00fcrkiye requires mediation<\/strong> before filing many money-related civil lawsuits, which typically includes medical compensation claims against private providers. Filing without mediation can lead to dismissal on procedural grounds. Mediation does not apply to criminal cases. For claims against public hospitals, the mandatory step is a written application to the administration (see below), not mediation.<\/p>\n<\/span>Pre-application for public hospital cases<\/strong><\/span><\/h3>\nFor claims against the administration (public hospital), you must first apply to the relevant authority<\/strong> within the set time limit. If the administration rejects your application or does not answer within the statutory period, you then have a short window (commonly 60 days<\/strong>) to file in the Administrative Court.<\/p>\n
<\/p>\n
<\/span>Deadlines (limitation periods)<\/span><\/h2>\nLimitation periods depend on the legal basis and the type of provider. Missing a deadline can end a claim, so note these typical<\/em> time frames used by courts:<\/p>\n<\/span>Private providers (civil courts)<\/strong><\/span><\/h3>\n\n- Tort-based claims:<\/strong> often 2 years<\/strong> from learning of the harm and the liable party, with a 10-year<\/strong> long-stop from the act.<\/li>\n
- Contract\/consumer claims:<\/strong> many courts apply a 5-year<\/strong> period for health services provided under a contract, especially for private hospitals and private physicians.<\/li>\n<\/ul>\n
<\/span>Public providers (administrative courts)<\/strong><\/span><\/h3>\n\n- Pre-application:<\/strong> typically within 1 year<\/strong> from learning the damage and the actor.<\/li>\n
- Absolute limit:<\/strong> generally 5 years<\/strong> from the act causing harm. After the application, you have about 60 days<\/strong> to sue if the administration rejects or stays silent.<\/li>\n<\/ul>\n
<\/span>Criminal law overlay<\/strong><\/span><\/h3>\nIf the alleged act amounts to a crime (e.g., negligent injury or negligent homicide), longer criminal limitation periods may apply to criminal prosecution, and civil claims tied to the offense can benefit from those longer periods. Always anchor your timeline to the exact facts and classification of your case.<\/p>\n
<\/span>Evidence: how Istanbul courts decide<\/span><\/h2>\n<\/span>Expert reports drive outcomes<\/strong><\/span><\/h3>\nTurkish courts almost always appoint medical experts. In Istanbul, the Council of Forensic Medicine (ATK)<\/strong>\u2014headquartered in Bah\u00e7elievler\u2014and university faculty boards examine files and issue opinions on whether the standard of care was met and whether that caused the injury. Courts can also seek higher or specialized boards if reports conflict.<\/p>\n<\/span>Medical records and consent forms<\/strong><\/span><\/h3>\nYou have the right to access your medical records<\/strong> and obtain copies. Informed consent documents, anesthesia charts, nursing notes, lab results, and imaging timelines are crucial. Many reversals on appeal involve inadequate consent<\/strong> or missing documentation. If you were treated in Istanbul, request records from the hospital\u2019s Patient Rights Unit<\/em> and download your data from the national e-Nab\u0131z<\/strong> portal if available.<\/p>\n<\/span>Tip for international patients<\/strong><\/span><\/h4>\nIf you traveled for care, ask for records in both Turkish and English. The Ministry of Health\u2019s lines (including SAB\u0130M 184 and the International Patient Assistance Unit) can help you navigate requests and complaints, including language support.<\/p>\n
<\/p>\n
<\/span>What damages can you claim?<\/span><\/h2>\nTwo broad categories exist:<\/p>\n
\n- Pecuniary (material):<\/strong> treatment costs, rehabilitation, travel and accommodation for follow-up, loss of earnings or loss of support, assistive devices, and future care.<\/li>\n
- Non-pecuniary (moral):<\/strong> pain and suffering, loss of life enjoyment, and\u2014where applicable\u2014family members\u2019 suffering in fatal cases.<\/li>\n<\/ul>\n
Courts tailor amounts to the facts. Expert actuaries may be appointed for loss-of-earnings calculations. Interest and court costs can be awarded separately.<\/p>\n
<\/span>Insurance: who pays and how much?<\/span><\/h2>\nPhysicians in T\u00fcrkiye carry Compulsory Financial Liability Insurance for Medical Malpractice<\/strong>. This policy typically covers claims arising from professional activity during the policy period and\u2014importantly\u2014provides retroactive protection<\/strong> going back years for acts within the insured\u2019s professional practice. Coverage includes defense costs and interest, within limits.<\/p>\nCoverage limits are set in tariffs and can change. A recent Official Gazette update (August 2025) raised overall caps, with an aggregate ceiling per policy period. Individual per-event limits apply by risk group and are listed in the tariff table. Hospitals often carry separate institutional policies. Where both the doctor and the hospital are liable, claims can proceed against both and the relevant insurers, subject to policy terms.<\/p>\n
<\/span>Criminal aspects: when does it cross the line?<\/span><\/h2>\nSerious harm or death can trigger criminal investigation. The Penal Code includes negligent injury<\/strong> and negligent homicide<\/strong>. Prosecutors may order forensic reviews, obtain hospital CCTV, and request ATK board opinions. A criminal conviction is not required to win civil compensation, but it can influence civil findings. Conversely, an acquittal does not always defeat civil liability because civil courts apply different standards of proof.<\/p>\n<\/span>Public-sector recourse rules (what changed recently)<\/span><\/h2>\nIn public hospital cases where the state pays compensation, the question becomes whether the state will seek recourse<\/strong> against the individual professional. Amendments in 2022<\/strong> created a